DANIEL J BURBACH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008331

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

BURBACH

Business Name

DANIEL J BURBACH

Original Issue Date

03/30/2012

Effective Date

09/23/2022

Expiration Date

09/30/2024

City

MANITOWOC

State

Zip

54220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/27/2025